[104-10222-10041.pdf — page 108]
SECTION XIX CONTINUED FROM PAGE 126. SPECIAL REMARKS, IF ANY, CONCERNING RELATIVES NOTED IN SECTION XIX ABOVESECTION XX RELATIVES BY BLOOD, MARRIAGE OR ADOPTION WHO ARE IN THE MILITARY OR CIVIL SERVICE OF THE UNITED STATES|                                                |                                            | AGE | CITIZENSHIP || ---------------------------------------------- | ------------------------------------------ | --- | ----------- || 1. NAME (Last-First-Middle)                    | 2. RELATIONSHIP                            |     |             || 8. ADDRESS (No., Street, City, State, Country) | 6. TYPE AND LOCATION OF SERVICE (If known) |     |             || 1. NAME (Last-First-Middle)                    | 2. RELATIONSHIP                            | AGE | CITIZENSHIP || 8. ADDRESS (No., Street, City, State, Country) | 6. TYPE AND LOCATION OF SERVICE (If known) |     |             || 1. NAME (Last-First-Middle)                    | 2. RELATIONSHIP                            | AGE | CITIZENSHIP || 8. ADDRESS (No., Street, City, State, Country) | 6. TYPE AND LOCATION OF SERVICE (If known) |     |             |SECTION XXI REFERENCES, ACQUAINTANCES, AND NEIGHBORS1. LIST FIVE CHARACTER REFERENCES, NOT RELATIVES, IN THE U.S. WHO KNOW YOU INTIMATELY| NAME (Last-First-Middle) | BUSINESS ADDRESS (No., Street, City and State) | RESIDENCE ADDRESS (No., Street, City and State) || ------------------------ | ---------------------------------------------- | ----------------------------------------------- || B/Oen Edu. G. Lansdale   | Of Ass't Sec Def,                              | 4503 Mac Arthur Blvd Washington, D.C.           || Mr. Lucius O. Rucker     | CIA                                            | 5011 Manos Street Helean, Virginia              || Hon. Errett P. Scrivner  | Congress                                       | 2331 Cathalral Av. N.W. Washington, D.C.        || Mr. Alfred T. Cox        | CIA                                            | Arlington Towers Arlington, Virginia            || Pr. John Foster          | CIA                                            | U.S. Embassy Teheran, Iran                      |2. LIST FIVE PERSONS, IN THE US WHO KNOW YOU SOCIALLY, NOT RELATIVES, SUPERVISORS OR EMPLOYERS| NAME (Last First Middle) | BUSINESS ADDRESS (No. Street, City, and State) | RESIDENCE ADDRESS (No. Street, City, and State) || ------------------------ | ---------------------------------------------- | ----------------------------------------------- ||                          |                                                |                                                 |Since I have been in the military service since September 1941 and since the majority of my military service has been in overseas areas, specifically since1959, 1961, and since I have just returned from Teheran, Iran, my social contacts are not in the United States.3. LIST THREE NEIGHBORS AT YOUR MOST RECENT NORMAL RESIDENCE IN THE U.S.| NAME (Last First Middle) | BUSINESS ADDRESS (No. Street, City, and State) | RESIDENCE ADDRESS (No. Street, City, and State) || ------------------------ | ---------------------------------------------- | ----------------------------------------------- ||                          |                                                |                                                 |Same as above applies. In the military service people are being continuously transformed to new duty stations therefore at this time it is impossible to adequately answer this question.13.